Safe Harbors Capella Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300221DP Issued in CA

Legal business name

SAFE HARBORS CAPELLA INC.

Practice address

546 Bernard St
Costa Mesa, CA 92627-2658

Phone

(626) 797-9977

Fax

(626) 844-2977

NPI assigned

Apr 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Gray

Title

Insurance Coordinator

Phone

(626) 797-9977

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1225472699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 KNOX ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273742",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 BERNARD ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272658",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBORS CAPELLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "626-797-9977"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300221DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe Harbor Treatment Center for Women (Safe Harbor Connections)
• Safe Harbor Treatment Center for Women Capella
• Safe Harbor Treatment Center for Women Inc
• Safe Harbor Treatment Center for Women Inc (Safe Harbor Capella)
• Safe Harbor's Capella LLC
• Saghatchi Dental Corporation
• Farshad Saghatchi, D.D.S.
• Sahawneh Dental Corporation (Bright Now Dental - Costa Mesa)
• Shorouq Sameer Sahawneh, D.D.S
• Lily Said

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.